UTI
Dysuria, urgency and suprapubic discomfort point to infection in this part of the urinary tract.
What is the lower urinary tract?
Give four examples of how a patient can be exposed to infections.
What is community, hospital acquired, contact, indirect, equipment, droplet, airborne, fecal oral, food, water, skin breaks.
Vector = bites from animals, ticks, uti, needles
Name the two common bacteria that can cause Cellulitis.
What is Staphylococcus aureus and Streptococcus
This is when an infectious agent enters the blood.
What is Bacteremia
Name two signs and symptoms of SIRS
What is a Temperature <96.8 or 100.4, HR >90, RR 20, WBC <4000 or >12,000
A client with dysuria develops fever, chills, vomiting and flank pain. Name the suspected upper urinary tract infection.
What is pyelonephritis?
Name and explain different hospital precautions used to prevent infections.
What is standard, airborne, contact and droplet precautions.
How can cellulitis be diagnosed?
History and physical, labs, open wound culture. ultrasound, CT-scan
Name the different types of agents that can cause an infection.
What is virus, bacteria, parasite, fungi
In the continuum of Sepsis, Name how a client identified to have Sepsis.
What is SIRS + Confirmed or suspected infection
This part of the urinalysis test can determine which organism is present.
What is Urine culture.
Name 4 different ways a person can get a UTI.
Cauti, low fluid intake, blockages, immunosuppressant HIV, CA, retention, incomplete emptying, hormonal changes Menopause, Sexual activity, birth control,
Name what labs values that increase with cellulitis.
WBC, CRP, C-Reactive protein, ESR
Give examples of how infections travel in the community or hospital setting.
What is contact, airborne, droplet, fecal, oral, food, water, skin breaks, vector (animals, ticks) needles, indirect (equipment)
Severe circulatory/cellular dysfunction with persistent hypotension is also know as?
What is Septic Shock
Your client has been diagnosed with a UTI. Name two treatments for the client.
What is Antibiotics, antispasmodics, pain medications, heat pack to abdomen, IVF?
A client comes into the Emergency Room with right flank pain, fever, nausea and vomiting. Name the possible infection this client has.
What is Upper UTI and or pyelonephritis?
What are two treatments for Cellulitis.
What is Oral antibiotics, IV antibiotics, surgery, plastic surgery.
In regard to the Chain of Infection. This part of the chain is how the infection agent travels
What is Transmission example: Travels by contact, indirect contact object, food, fecal, vectors-ticks, mosquitoes
With Septic shock this is usually the first vasopressor?
What is Norepinephrine/Levophed
Name three nursing management teachings for a client to prevent future UTI's.
What is hand hygiene, perineal care, toileting, Void when needed not to hold or delay, drink plenty of fluids, avoid sugary drinks, alcohol, and coffee, continue antibiotic treatment course, disconnect foley catheter asap with MD order, shower instead of baths, try to avoid jacuzzi, cotton panties, male retract foreskin.
Name two causes of Pyelonephritis
What is obstruction, tumors, BPH, TB infection
Explain what causes the lactic acid marker.
What is tissue stress, hypo-perfusion cause the lactic acid to elevate.
Name examples who is more likely to be a susceptible host for infection.
What is younger, elderly, weak immune system, Chemo, Cancer, HIV?
This is the formula to calculate the rapid administration of fluids in the sepsis 1 Hour bundle.
What is 30ml/kg